Emsculpt and Trusculpt? Or revision surgery? VaserLipo left my stomach with dimples and no etching.

Question

I’m skinny fat, and the only place i seem to gain fat is my midsection. I had VaserLipo a few years ago on my upper/lower abdomen, and flanks. I’m still not happy with the results. Although my stomach is slightly flatter, it left my stomach with dimples (that look like cellulite) and no etching. If I combine trusculpt with emsculpt will this help improve my stomach? Is there another noninvasive procedure that would be better? Or should I get a revision surgery?

Jason Emer, MD · Answer

revision liposuction with internal heating and fat grafting will help the most but you can try Renuva or bellafill injections to the indentations and start non invasive treatments like emsculpt and truscupt but this will not do much for the irregularities.  
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Daniel Barrett, MD · Answer

Dear Polite6389,
I would have to examine you but it appears that this is a contour irregularity after liposuction.  This happens often when areas the undergo liposuction are not feathered appropriately.  The good news is that it can be fixed and I have done so with good results before. 
While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Arian Mowlavi, MD, FACS (license on probation) · Answer

You would benefit form revision liposuction. The definitive correction for liposuction deformities requires the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I encounter suboptimal liposuction outcome referrals weekly. VASER liposuction has been the only modality that has consistently corrected liposuction caused deformities. VASER liposuction ensures a smooth contour regardless of severity of contour irregularities by virtue of being able to remove any and all remaining fat comprehensively and uniformly. Finally, when skin redundancy irregularities are observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Your outcome is directly related to how the liposuction was performed. Fat was removed in an uneven fashion leaving you with an uneven contour.Strengthening your abdominal muscles will not change your fat distribution.I don’t think you’ll find Emsculpt to be very rewarding.It’s hard enough taking someone’s smooth even for distribution and leaving it even from Liposuction. Taking an uneven contour and making it even is very difficult.You need to keep your expectations on the low side in regards to what revision surgery can offer.There are no good nonsurgical options.Some improvements can be had with revision Liposuction.Patients who are over treated with the primary procedure and left with an uneven fat distribution are by far the most difficult cases to correct.Best, Mats Hagstrom MD

Emsculpt and Trusculpt? Or revision surgery? VaserLipo left my stomach with dimples and no etching.

Answers (4)

Answer: And desirable outcome after VASER

Answer: And desirable outcome after VASER

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Everything you need to know about Liposuction Revision

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Emsculpt and Trusculpt? Or revision surgery? VaserLipo left my stomach with dimples and no etching.

Answers (4)

Answer: And desirable outcome after VASER

Answer: And desirable outcome after VASER

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Recommended reading

Everything you need to know about Liposuction Revision

Our mission is to create a world where every investment in modern beauty is Worth It.